ABSTRACT

At the end of this long and perhaps tiring journey inside the difficult universe of eating disorders, we would like to point out few but essential topics. Actually, even if these pathologies are severe and incapacitating, it is possible to build up models of therapy that are really effective and efficient. That means that it is possible to avoid the pessimism and resignation that psychiatric text-books utilize to describe such very resistant pathologies. Don D. Jackson (1964) used to say that there are no difficult patients, but often there are ineffective therapists and therapies. This is true only if therapies, in the way they are built up, are suitable and fit the problem, rather than the opposite. Moreover, as the psychic disorders evolve accordingly with the evolution of individuals and society, therapies must evolve too, to follow this process. That means that therapies that were effective years ago, are not suitable any more. Nietzsche, however, said: “In this world of images created by ourselves, we invent ourselves like a unit, like something that remains constant through the change” (1965, p. 151). As we already pointed out, in other works on the subject of brief therapy focused on specific disorders, probably some readers will be skeptical and doubtful about the results we declare. Probably 270these readers will think accordingly with their background and theories that it is impossible to rapidly solve complicated and involving problems, but, remembering Occam: “All the things that can be done with little, in vain are often done with a lot.”